| NPI | 1861102360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE LIZETTE RODRIGUEZ Speech Language Pathologist 956-572-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2023-03-02 |